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Individual
MS. TRACY REBECCA RAY PEREZ
Active
Individual
MS. TRACY REBECCA RAY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16109
NC
101YM0800X
Mental Health Counselor
16109
NC
101YP2500X
Professional Counselor
Primary
16109
NC
Other
Enumeration date
01/21/2021
Last updated
08/27/2024
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